Subtypes of aggression in patients with schizophrenia: The role of personality disorders

Abstract

These findings suggest that detailed personality assessment should be a routine part of comprehensive assessment of patients with schizophrenia. Improved knowledge of the presence and type of personality disorders may help detect and manage the risk of some types of aggression.

Staff members’ evaluation of inpatients’ motivation for aggression – the roles of staff restrictions and aggression severity

“…In contrast to previous studies, which focus on distinguishing primarily reactive or instrumental offenders (Bo et al, 2013;Cornell et al, 1996;Tapscott et al, 2012), our findings highlight great variation within individuals. This variation may have emerged as a result of our dimensional approach, allowing the evaluation of motivation to vary both in type and intensity.…”

“…Assessment of motivation in others is a demanding task. Previous studies have typically focused on distinguishing between instrumental versus reactive offenders, giving 3 little attention to motivations for individual incidents (Bo et al, 2013;Cornell et al, 1996;Tapscott, Hancock, & Hoaken, 2012). However, given the complexity and heterogeneity of aggression, motivation may vary considerably between patients, but also across incidents within patients.…”

Attentional biases to emotion in impulsive and instrumental violent offenders: an event-related potential study

“…violent men; Stanford, Houston, Villemarette-Pittman, & Greve, 2003, college students;Haden et al, 2008;see Bo et al, 2013), there may be issues, particularly when there are common features shared by different groups (Bo et al, 2013). Within the context of the current study, it would be expected that, should there be insufficient separation of the groups investigated, or the differentiation not be biologically meaningful, the result would be no difference in the patterns of performance or electrophysiological data for the two violent offender groups.…”

Methodological development of the Hoeven Outcome Monitor (HOM): A first step towards a more evidence based medicine in forensic mental health

“…Structured interdisciplinary plans of care should be used which spell out essential states for dealing with the patient's specific problems. Because of multiple aetiologies and dissimilar developmental trajectories which results in diverse patterns of violence, different offender typologies need to be developed whereby the different presumed causal mechanisms of symptoms and variables to the risk of violence are outlined to tailor treatment programmes to each offender type (Bo et al, 2013;Bradford et al, 2013;De Vogel & De Vries Robbé, 2013;Hodgins 1998Hodgins , 2002Liem, 2013;Van Marle, 2002). As such, to develop an evidence base of what has been effective in FMH, more detailed knowledge into treatment outcome and patient's risk, need and responsivity factors is called for to provide for targeted feedback into intervention effectiveness to enhance specific treatment programmes.…”